NUR 2407 PHARMACOLOGY FINAL EXAM STUDY GUIDE VERSION 1
Digoxin discharge teaching, what must a client know how to do?
ANTIDOTE = digoxin immune Fab (Digibind)
**check apical pulse for a full minute before administering medication**
-hold for heart rate below 60 bpm
-does not affect blood pressure
-encourage patient to eat high potassium diet
-monitor for S/S of digoxin toxicity: N/V, vision changes (green halo vision),
bradycardia, dysrhythmias, confusion
>>educate patients to have digoxin levels checked (toxic level= >2ng/ml)
How to monitor and interpret labs for potassium wasting diuretics. Normal
potassium ranges. Nursing interventions, potassium rich foods
*THIAZIDE DIURETIC
promotes sodium, chloride, and water excretion (diuresis)
Treats: HTN and peripheral edema
does not treat immediate emergency diuresis
First drug of choice for peripheral edema
spares calcium= hypercalcemia
affect glucose tolerance = hyperglycemia
Only use in patients with NORMAL RENAL FUNCTION
*LOOP DIURETICS
act on loop on henle
inhibit chloride transport of sodium into circulation
, sodium and water are lost along with potassium, calcium, and magnesium
>>very potent<<
can affect blood glucose and uric acid levels
only prescribe if HCTZ treatment fails
*FUROSEMIDE (LASIX)
used to treat edema
not used for hypertension
Take potassium supplement with therapy
Take in AM
Daily weight (report gain >2 lbs. in 24 hours)
BP and Heart rate
Monitor lung sounds for fluid overload
can be used IV for emergency > pulmonary edema, and acute heart failure
monitor electrolyte levels
caution to CHANGE POSITION SLOWLY
IV Administration: push SLOWLY! DO NOT EXCEED 20mg/min [administering
too rapidly can cause hearing loss (Cranial nerve 8)]
* NORMAL RANGES
Potassium: 3.5-5
Sodium: 135-145
Actions of ACE inhibitors, think about chronotropic, inotropic etc.
“PRIL” Medications
Prevent angiotensin I (weak) from converting into angiotensin II (potent) and
PREVENTS the release of aldosterone.
Aldosterone promotes retention of sodium and water.
Digoxin discharge teaching, what must a client know how to do?
ANTIDOTE = digoxin immune Fab (Digibind)
**check apical pulse for a full minute before administering medication**
-hold for heart rate below 60 bpm
-does not affect blood pressure
-encourage patient to eat high potassium diet
-monitor for S/S of digoxin toxicity: N/V, vision changes (green halo vision),
bradycardia, dysrhythmias, confusion
>>educate patients to have digoxin levels checked (toxic level= >2ng/ml)
How to monitor and interpret labs for potassium wasting diuretics. Normal
potassium ranges. Nursing interventions, potassium rich foods
*THIAZIDE DIURETIC
promotes sodium, chloride, and water excretion (diuresis)
Treats: HTN and peripheral edema
does not treat immediate emergency diuresis
First drug of choice for peripheral edema
spares calcium= hypercalcemia
affect glucose tolerance = hyperglycemia
Only use in patients with NORMAL RENAL FUNCTION
*LOOP DIURETICS
act on loop on henle
inhibit chloride transport of sodium into circulation
, sodium and water are lost along with potassium, calcium, and magnesium
>>very potent<<
can affect blood glucose and uric acid levels
only prescribe if HCTZ treatment fails
*FUROSEMIDE (LASIX)
used to treat edema
not used for hypertension
Take potassium supplement with therapy
Take in AM
Daily weight (report gain >2 lbs. in 24 hours)
BP and Heart rate
Monitor lung sounds for fluid overload
can be used IV for emergency > pulmonary edema, and acute heart failure
monitor electrolyte levels
caution to CHANGE POSITION SLOWLY
IV Administration: push SLOWLY! DO NOT EXCEED 20mg/min [administering
too rapidly can cause hearing loss (Cranial nerve 8)]
* NORMAL RANGES
Potassium: 3.5-5
Sodium: 135-145
Actions of ACE inhibitors, think about chronotropic, inotropic etc.
“PRIL” Medications
Prevent angiotensin I (weak) from converting into angiotensin II (potent) and
PREVENTS the release of aldosterone.
Aldosterone promotes retention of sodium and water.
